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Dens in dente
General information
• Infolding of the outer surface of the tooth into
its interior surface occurs
• It is a developmental variation which is
thought to arise as a result of an invagination
in the surface of Crown before calcification
Etiopathogenesis
• Focal growth retardation
• active proliferation
• continuous differentiation
• increased pressure
• local causes
Clinical features
• Commonly affected teeth is permanent maxillary
lateral incisor and maxillary Central incisor the
lower incisor or cuspid is the next common site
• there appears to be a grossly is magnified
cingulum rising to the level of the incisive edge of
the tooth
• the Crown may or may not be enlarged
• The invagination may extend to the apex of the
root
Diagnosis
• Infolding of tooth is seen clinically
• Inverted umbrella appearance seen
radiographically
Management
• To prevent caries, pulp infection and
premature loss of tooth, dense in dente must
be treated prophylactically

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10.dens in dente

  • 2. General information • Infolding of the outer surface of the tooth into its interior surface occurs • It is a developmental variation which is thought to arise as a result of an invagination in the surface of Crown before calcification
  • 3. Etiopathogenesis • Focal growth retardation • active proliferation • continuous differentiation • increased pressure • local causes
  • 4. Clinical features • Commonly affected teeth is permanent maxillary lateral incisor and maxillary Central incisor the lower incisor or cuspid is the next common site • there appears to be a grossly is magnified cingulum rising to the level of the incisive edge of the tooth • the Crown may or may not be enlarged • The invagination may extend to the apex of the root
  • 5. Diagnosis • Infolding of tooth is seen clinically • Inverted umbrella appearance seen radiographically
  • 6. Management • To prevent caries, pulp infection and premature loss of tooth, dense in dente must be treated prophylactically